Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.08 / $1,997.69 / $2,864.76	Facility		$850.08	$1,997.69	$2,864.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.08 / $850.08 / $903.21	Professional		$850.08	$850.08	$903.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $772.51 / $1,268.21 / $2,303.23	Facility		$772.51	$1,268.21	$2,303.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.42 / $481.44 / $1,080.31	Professional		$391.42	$481.44	$1,080.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.47 / $161.47 / $221.74	Facility		$161.47	$161.47	$221.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.47 / $161.47 / $161.47	Professional		$161.47	$161.47	$161.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Facility		$903.21	$903.21	$903.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.21 / $903.21 / $1,062.59	Professional		$903.21	$903.21	$1,062.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $903.21 / $903.21 / $1,062.59	Professional		$903.21	$903.21	$1,062.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $885.50 / $885.50 / $1,231.82	Professional		$885.50	$885.50	$1,231.82